Zone/Scrutiny

GATE 2016

2GE
B115W40

B115W40

(Enrolment ID)

Shah Nisarg Bhavinbhai

(Full Name of the Applicant)

11 Apr 1993

Male

GEN

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

9825955663

Shah Bhavin Kirtikumar

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
A-9 SILVERCOIN APARTMENT
OPPOSITE JUDGES BUNGLOWS
BODAKDEV
AHMEDABAD
Gujarat 380015

94290 21328 (Mobile No.)

nisarg11493@gmail.com

Qualification Details
B.E.
Electronics & Comm./Electronics Engg./Comm.
Graduated: Yes; Year of Graduation: 2014
GTU
KALOL
Gujarat 382721

Payment Details

GATE Exam Details

GATE Paper Code

EC
(Electronics and Communication Engineering)

Ahmedabad , GJ
(Exam City 1)

Gandhinagar , GJ
(Exam City 2)

Mumbai , MH
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE
Indian Institute of Technology Bombay
Powai, Mumbai 400076

Rs. 1500.00

Online

Payment Ref. No.: CP28762423

14/09/2015
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. The
responsibility of following the GATE 2016 website and meeting various deadlines lies with me. In the event of
suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity
to appear in GATE 2016. Further, if any suppression or distortion of facts is found after appearing in the
exam, any admission/degree/benefit acquired on the basis of GATE 2016 score/marks is liable to be
cancelled.

Digital
Fingerprint:

11f164eecb8cfc737ae8cd1e30ccd1c5